Individual provider Active NPI

Clara Lee, D.O.

  • Internal Medicine Physician
  • Locust Valley, NY
National Provider Identifier
1639437353
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
278097 Issued in NY
Practice address
18 Pershing Ave
Locust Valley, NY 11560-2330
Phone
(516) 662-0445
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 278097 NY Primary

Addresses

Primary practice location

18 Pershing Ave
Locust Valley, NY 11560-2330

Mailing address

18 Pershing Ave
Locust Valley, NY 11560-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, VT, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150901002015 NJ Practitioner - Internal Medicine 9436465713 Reassigns benefits to 7 organizations
I20171130002140 VT Practitioner - Internal Medicine 9436465713 Reassigns benefits to 2 organizations
I20210226000984 NY Practitioner - Internal Medicine 9436465713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Touro Un Col of Osteopathic Medicine, New York, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians
Rutgers Health-RWJ Neurosurgery FacultyGroup PAC ID 4587613443, 189 clinicians
Northwestern Medical Center IncGroup PAC ID 5496714313, 105 clinicians

Practice addresses (Care Compare)

1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Phone (732) 828-3000

110 Rehill Ave
Somerville, NJ 08876-2519
Phone (908) 685-2856

133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-8852

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital - Somerset Hospital, Somerville, NJ, CCN 310048
  • Northwestern Medical Center Inc Hospital, Saint Albans, VT, CCN 470024
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
278097NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 9, 2023 Accepting new patients
Rwjbh Emergency Medicine Associates, LLC Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Aug 3, 2015 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care CurrentSince Feb 9, 2023 Accepting new patients
Northwestern Medical Center, Inc CurrentSince Jul 7, 2018 Accepting new patients
Lawrence Medical Associates, PC CurrentSince Jan 6, 2021 Accepting new patients
Robert Wood Johnson Medical Associates CurrentSince Jun 28, 2022 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty Current Accepting new patients
Hospitalist Medicine Physicians of Vermont-TCG, LLC Internal Medicine CurrentSince Nov 18, 2021 Accepting new patients
Northwestern Medical Center, Inc. CurrentSince Jul 7, 2018 Accepting new patients
Humc Opco LLC Current Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Feb 1, 2021 Accepting new patients
Valley Physician Services PC Internal Medicine CurrentSince Dec 1, 2016 Accepting new patients
Lawrence Medical Associates, PC Internal Medicine CurrentSince Jan 6, 2021 Accepting new patients
Rutgers Health-RWJ Neurosurgery Faculty CurrentSince Aug 1, 2020 Accepting new patients
Northwestern Medical Center, Inc. Current Accepting new patients
Robert Wood Johnson University Hospital Inc Past Accepting new patients

Locations

225 Williamson St
Elizabeth, NJ 07202
Phone (908) 994-5204

308 Willow Ave
Hoboken, NJ 07030
Phone (201) 418-1574

10 Exchange Pl
Fl 15
Jersey City, NJ 07302
Phone (201) 821-8900

600 River Ave
Lakewood, NJ 08701
Phone (732) 363-1900

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

10 Plum St
New Brunswick, NJ 08901
Phone (732) 235-6333

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

10 Plum St
Fl 5
New Brunswick, NJ 08901
Phone (732) 235-5530

125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756

1 Valley Health Plz
Paramus, NJ 07652
Phone (201) 634-5353

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

685 White Plains Rd
Lowr
Eastchester, NY 10709
Phone (914) 787-4100

685 White Plains Rd
Fl 2
Eastchester, NY 10709
Phone (914) 787-4100

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/xYxhuXIFsLg59PaSNJv_x-piAtPKX3W8/
  • Direct secure messaging: clara.lee@direct.hobokenumc.md
  • Direct secure messaging: clee59150@epicdirect.rwjbh.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1639437353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PERSHING AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PERSHING AVE",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115602330",
            "telephone_number": "516-662-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CLARA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "278097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

Verify at the official NPI Registry.